{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T15:15:10Z","timestamp":1791645310630,"version":"4.3.4"},"reference-count":38,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,5,10]],"date-time":"2026-05-10T00:00:00Z","timestamp":1778371200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,5,10]],"date-time":"2026-05-10T00:00:00Z","timestamp":1778371200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis Care &amp; Research"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This research article aims to describe the prevalence, associations, and health\u2010related quality of life (HRQoL) impact of mucocutaneous features of systemic lupus erythematosus (SLE).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data from the Asia\u2010Pacific Lupus Collaboration cohort were analyzed (2013\u20132021). Mucocutaneous activity (MC\u2010A) items were rash, alopecia, and mucosal ulcers; were defined by the Systemic Lupus Erythematosus Disease Activity Index 2000; and were persistent if present for at least six months. Mucocutaneous damage (MC\u2010D) items were chronic skin ulceration, scarring alopecia, and skin\/panniculum scarring and were defined by the Systemic Lupus International Collaborating Clinics\/American College of Rheumatology Damage Index. HRQoL was measured by 36\u2010Item Short Form Health Survey (SF\u201036) surveys. Multivariate logistic generalized estimating equation models were used to determine correlates of MC\u2010A at each visit. Time\u2010varying covariate survival models were used to determine predictors of MC\u2010D.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      During a median of 2.5 (interquartile range 1.0\u20135.1) years\u2019 follow\u2010up, 1,499 of 4,102 patients (36.5%) had MC\u2010A (rash n\u00a0=\u00a01,055, alopecia n\u00a0=\u00a0731, mucosal ulcers n\u00a0=\u00a0352) and 606 of 3,655 patients (16.6%) had persistent MC\u2010A. These patients were more likely to record worse mean mental (42.6 vs 44.8;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.014) and physical component (41.1 vs 46.1;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001) SF\u201036 scores. Being White, smoking, serologic activity, vasculitis, myositis, serositis, nephritis, and neurologic\/psychiatric features were correlates of MC\u2010A. Of 3,647 patients, 157 (4.3%) accrued MC\u2010D (skin\/panniculum scarring n\u00a0=\u00a053, alopecia n\u00a0=\u00a098, ulceration n\u00a0=\u00a030). These patients had worse mean physical component (39.8 vs 46.0,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.001) SF\u201036 scores and were more likely to be White with persistent MC\u2010A.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>All mucocutaneous manifestations were associated with worse HRQoL. MC\u2010A correlated with serologic and systemic disease activity burden in SLE. Persistent MC\u2010A was associated with increased risk of MC\u2010D, emphasizing the importance of early and effective treatment. Both MC\u2010A and MC\u2010D were more likely in White patients, suggesting ethnic and environmental impacts. Smoking was a potentially modifiable correlate of MC\u2010A.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/acr.80050","type":"journal-article","created":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T10:11:47Z","timestamp":1775470307000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Mucocutaneous Disease Activity and Damage Accrual in Systemic Lupus Erythematosus: Analyses From the Asia\u2010Pacific Lupus Collaboration Longitudinal Cohort Study"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2485-4938","authenticated-orcid":false,"given":"Amanda M.","family":"Saracino","sequence":"first","affiliation":[{"name":"Department of Dermatology St Vincent's Hospital Melbourne  Melbourne Victoria Australia"},{"name":"Department of Medicine University of Melbourne  Melbourne Victoria Australia"},{"name":"Centre for Rheumatology and Connective Tissue Diseases, Division of Medicine 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